MEGAN GLEASON
NPI 1932726031
Nurse Practitioner - Family in Sparta, NJ

Active since July 06, 2020PECOS EnrolledAccepts Medicare Assignment
86.42/100
CMS Quality Rating
11 THEATRE CTR, SPARTA, NJ 07871(973) 726-3219 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 27, 2026, Jul 21, 2022, Jul 29, 2020 and 1 more (4 updates tracked since 2020).

About Megan Gleason NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEGAN GLEASON (NPI 1932726031) is an individual family provider in Sparta, New Jersey, licensed in New Jersey (26NJ01017700) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, maintains 8 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1932726031
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMEGAN GLEASON
Location Address11 THEATRE CTRSparta, NJ 07871-2433
Mailing Address11 Theatre CtrSparta, NJ 07871-2433
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 6, 2020
Last NPPES UpdateMay 27, 20264 updates tracked since enumeration
NPPES CertifiedMay 27, 2026
✔ NPI 1932726031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in NJ · 26NJ01017700✔ Licensed in NY · F345475✔ Licensed in PA · SP021547✔ Licensed in FL · APRN11042346✔ Licensed in NC · 5022892✔ Licensed in GA · GAA-NP004991✔ Licensed in SC · 30960✔ Licensed in VA · 0024194831
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 26NJ01017700 (NJ)
11 THEATRE CTR, Sparta, NJ 07871

Secondary Practice Locations 8

Location 119305 Ruby DrLeesburg, VA 20176-6508 · Phone (866) 389-2727
Location 22782 N Cobb PkwyKennesaw, GA 30152-3472 · Phone (866) 389-2727
Location 3107 S Country RdBellport, NY 11713-2523 · Phone (866) 389-2727
Location 4698 Fairview RdSimpsonville, SC 29680-6708 · Phone (866) 389-2727
Location 51218 E Lancaster AveBryn Mawr, PA 19010-2616 · Phone (866) 389-2727
Location 62340 Spring Forest RdRaleigh, NC 27615-7528 · Phone (866) 389-2727
Location 733 Newton Sparta Rd Ste 3Newton, NJ 07860-2764 · Phone (833) 494-6724
Location 8525 Route 73 N Ste 100Marlton, NJ 08053-3422 · Phone (833) 494-6724

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Megan Gleason is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113345968
PECOS Enrollment IDI20200911000153
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare enrollment records show Megan Gleason reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family
375 WHITE PLAINS RD
Eastchester, NY 10709
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Medical Group Of New York PC
  • 185 clinicians in this Medicare group
Family
1218 E LANCASTER AVE
Bryn Mawr, PA 19010
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 168 clinicians in this Medicare group
Family
307 EGG HARBOR RD
Sewell, NJ 08080
  • Reassigned Medicare billing, New Jersey enrollment
  • 243 clinicians in this Medicare group
Family
307 EGG HARBOR RD
Sewell, NJ 08080
  • Reassigned Medicare billing, New Jersey enrollment
  • 86 clinicians in this Medicare group
Family
19305 RUBY DR
Leesburg, VA 20176
  • Reassigned Medicare billing, Virginia enrollment
  • 276 clinicians in this Medicare group
Family
698 FAIRVIEW RD
Simpsonville, SC 29680
  • Reassigned Medicare billing, South Carolina enrollment
  • 176 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
80 services69 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
43 services43 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
22 services22 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07871 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.04
Promoting Interoperability82
Improvement Activities40
Cost91.69

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
11 THEATRE CTR
SPARTA, NJ 07871
Pharmacist
11 THEATRE CTR
SPARTA, NJ 07871
Nurse Practitioner (Family)
11 THEATRE CTR
SPARTA, NJ 07871
Nurse Practitioner (Family)
11 THEATRE CTR
SPARTA, NJ 07871
Pharmacist
11 THEATRE CTR
SPARTA, NJ 07871
Nurse Practitioner (Family)
11 THEATRE CTR
SPARTA, NJ 07871
Pharmacy
11 THEATRE CTR
SPARTA, NJ 07871
Pharmacist
11 THEATRE CTR
SPARTA, NJ 07871

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Megan Gleason's NPI number?

The NPI number for Megan Gleason is 1932726031. It was assigned to this individual provider in the NPPES registry on July 6, 2020.

Where is Megan Gleason located?

Megan Gleason practices at 11 Theatre Ctr, Sparta, NJ 07871. The listed phone number is (973) 726-3219.

What is Megan Gleason's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Megan Gleason enrolled in Medicare?

Yes. Megan Gleason is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Megan Gleason's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Megan Gleason reassigns Medicare benefits to 6 organizations: Medical Group Of New York, P.C. (Eastchester, NY), Minuteclinic Diagnostic Of Pennsylvania LLC (Bryn Mawr, PA), Minuteclinic Diagnostic Of New Jersey LLC (Sewell, NJ), Minuteclinic Primary Care New Jersey LLC (Sewell, NJ), Minuteclinic Diagnostic Of Virginia LLC (Leesburg, VA) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Megan Gleason's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Megan Gleason accept?

Health plans from Blue Cross and Blue Shield of NC, CareSource, CareSource (Common Ground Healthcare) and Oscar Health list Megan Gleason as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Megan Gleason was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.